Individual provider · Type 1 NPI
Carla Kimberly Fontal
Primary Care Nurse Practitioner · North Port, FL
NPI number
1114762739
Active
Practice location
2520 Zander Ter
North Port, FL 34286-8818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN9452266 (FL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95034270 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in North Port
About NPI 1114762739
Carla Kimberly Fontal's National Provider Identifier is 1114762739, issued on Jun 26, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in North Port, FL. The record was last updated on Jun 18, 2025.